Advancements for Afya
A strategy to promote health and
prevent cardiovascular disease in Kenya
Our team from N.C. State
• Mark Herring
– Junior in Biological Science & Spanish Language and Literature
• Kevin Gibson
– Senior in Biomedical Engineering, concentrating in instrumentation
• Sarah Lynch
– Senior in Biomedical Engineering, concentrating in biomechanics
• Charlie Harless
– Sophomore in Biological Sciences & Social Work
Health Education Experience
Foreign Perceptions of Kenya
Luke Kibet, after winning the 2007 Osaka World Championship Marathon.
Kenyan CVD Issues
•The State of Things CVD
•13% death from autopsy
studies
•25% of hospitalizations
•CVD Risk Factors
•Tobacco use
•32.3% of school children
•53% of college students
•are ever-smokers
•26% of males smoke
•Obesity
•25.1% of women 15-49
are overweight
A volunteer with Kenyan Heart National
Foundation instructs basic physiology.
What we’re not doing
Kenyan Partnerships
• Kenya Heart National
Foundation
• Kenya Cardiac Society
• Kenya Tobacco Control
Alliance Lobby
KHNF has partnered with UN and World
Bank in sustainable development
Advancements for Afya Plan
• Immediate treatment
- Drug distribution
• Education
- Curriculum development,
teacher training,
continuing education
• Public Awareness
- Aggressive advertising,
PSA circulation
Immediate Treatment
• Drug distribution
– Distribute aspirin
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•
•
Why: For prevention
Who: All adults over 50 years of age
How: 1000 Community Health
volunteers, with incentives
– Saradidi case example of 97%
retention in health volunteers,
through training and stipends
– Distribute CVD Cocktail
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•
•
Why: For treatment
Who: All adults who have CVD
Why not: Without accurate wholesale
prices in Kenya, there is no way to
budget for CVD Cocktail
Investing in Existing Infrastructure
• Pharmaceuticals
• Non-lab testing
• CVD Cocktail
– ABCD
Education
• Curriculum Development
– Including Health Education
• Dental health, nutrition, exercise,
first aid, etc.
– Adult Education Programs
• Teacher Training
– Of 132 Peace Corps volunteers in
Kenya, Afya will recruit 20 to train
15,500 Kenyan teachers to implement
health curriculum
•
Incentives: $200 stipend
Rheumatic heart disease literature from
Kenya Heart National Foundation
Speaking their social language
Focus on Emerging Media
•Social Media-Cell phones: In East Africa, $840 million is involved
annually in cell-phone air time, much of with on the internet.
•Telecommunication Growth: “In 2002, Kenya had 400,000 lines to a
population of 30 million people but has set an ambitious target of 10 lines per 100
people by the year 2015.”
Afya Budget
PROGRAM
TOTAL
Pharmaceuticals
$8,704,200.00
Aspirin (50+) $5,504,199.36
Bikes and Repairs $200,000.00
Investing in Existing Infrastructure $3,000,000.64
Non-lab Testing
$126,000.00
Printing Pamphlets (Laminated) $126,000.00
Education
$3,100,000.00
Teaching Stipend $3,100,000.00
Advertising
$3,069,800.00
Donation to: Kenya Cardiac Society $500,000.00
Donation to: Kenya Heart National Foundation $1,569,800.00
Donation to: Kenya Tobacco Control Alliance $1,000,000.00
TOTAL
$15,000,000.00
Task Delegation
• Mark Herring
– Research, designer
• Kevin Gibson
– Research
• Sarah Lynch
– Research, budget, slide development
• Charlie Harless
– Research
References
• Slide 4
–
Image credit: Mark Herring
• Slide 5
–
Image credit: AP/Seattle Times:
http://seattletimes.nwsource.com/ABPub/zoom/html/20038
52740.html
• Slide 6
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–
Image credit: http://www.flickr.com/photos/kenyanheart/5120887924/sizes/m/in/photostream/
Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya
NCD Alliance, Kenya Cardiac Society, Aga Khan University
• Slide 7
–
Image credit:
http://www.samaritanspurse.org/index.php/Where_We_Work/ken
ya/
• Slide 8
–
Image credit: http://topnews.ae/content/24128-saughall-pharmacywill-check-your-blood-pressure-free
• Slide 9
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Image Credit:
http://www.telegraph.co.uk/news/worldnews/africaandindian
ocean/kenya/9132753/Kenyan-nurses-vow-to-continue-strikedespite-job-threats.html
Stats: http://www.ncbi.nlm.nih.gov/pubmed/3689038
• Slide 10
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Image credit: http://www.flickr.com/photos/kenyanheart/5120887210/sizes/l/in/photostream/
• Slide 11
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–
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Image credit: http://www.flickr.com/photos/kenyanheart/5120887008/sizes/l/in/photostream/
Information cited:
http://www.sciencedirect.com/science/article/pii/S0736585
303000236
Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya
NCD Alliance, Kenya Cardiac Society, Aga Khan University
• Slide 12
–
–
Information
Cited:http://www.sciencedirect.com/science/article/pii/S0736
585303000236
Stats: Case Kenya Study: NCD Situation, Gerald Yonga, Kenya
NCD Alliance, Kenya Cardiac Society, Aga Khan University
• Slide 13
–
Information Cited: pharmacychecker.com bloodpressure.emedtv.com http://www.webmd.com/heartdisease/heart-disease-calcium-channel-blocker-drugs